Iberia Medical Clinic, P.a.

NPI #1043331812 in Fort Worth, Texas

Provider Information

NPI Number: 1043331812
Entity Type: Organization
Organization Name: Iberia Medical Clinic, P.a.
Primary Specialty: Family Medicine
Enumeration Date: Apr 2, 2007
Last Updated: Apr 9, 2025

Practice Location

Address: 546 W SEMINARY DR STE A
City: Fort Worth
State: Texas
ZIP Code: 76115-1361
Phone: (817) 924-7978

Authorized Official

Name: PAMELA E THOMSON
Title: CREDENTIALING MANAGER
Phone: (817) 744-7524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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